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NPI Code Detail

MEDICARE: HAWKINS COMPREHENSIVE LLC

MEDICARE: HAWKINS COMPREHENSIVE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1013876366
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAWKINS COMPREHENSIVE LLC
Provider Business Mailing Address
First Line : 431 W LIBERTY ST UNIT 111
Second Line :
City : MEDINA
State : OH
Zip : 44256-2221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 431 W LIBERTY ST UNIT 111
Second Line :
City : MEDINA
State : OH
Zip : 44256-2221
Country : US
Telephone Number : 216-516-7716
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. SEAN HAWKINS
Credential : MD
Telephone Number : 216-516-7716
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “HAWKINS COMPREHENSIVE LLC ” Practice Location

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